Document Type : Original Article


1 Department of Occupational Health Engineering, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

2 Department of Nursing, Alborz University of Medical Sciences, Karaj, Iran

3 Department of Nursing, Dezful University of Medical Sciences, Dezful, Iran

4 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Department of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

5 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

6 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

7 Department of Occupational Health, Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran


INTRODUCTION: Some working and organizational conditions, such as psychological stress and
shift work, are factors that threaten the health of staff working in health centers. These factors can
cause fatigue in a long time. Fatigue reduces the ability to process information and decrease to
respond to hazardous conditions and will affect the safety of the environment. Therefore, the purpose
of this study was to determine the relationship between safety climate and occupational fatigue in
nurses working in Zabol city.
METHODS: This cross‑sectional study was performed on 143 nurses working in educational hospitals
of Zabol in 2019. The proportional sampling method was used, and the Swedish Occupational
Fatigue Questionnaire and the Nurses Safety Questionnaire were used for data collection. Data
were analyzed using independent t‑test, analysis of variance, Mann–Whitney, Kruskal–Wallis tests,
and SPSS‑21 software.
RESULTS: In the present study, 57.3% were women and 42.7% were men. The mean score of
occupational fatigue was 85.09 ± 41.49, and the mean score of safety climate was 67.15 ± 12.73. There
is a significant inverse relationship between occupational fatigue and safety climate. The comparison
of safety climate and its subscales between occupational and demographic variables showed that the
score of male supervisors’ attitude was 01.36 ± 2.41 while the score of female supervisors’ attitude
was 8.88 ± 2.61, and this difference was significant. Furthermore, cumulative burnout, the attitude of
supervisors, and the safety climate were significantly different between different educational levels.
CONCLUSION: The results of this study showed that there is a relationship between occupational
fatigue and safety climate. Issues related to safety and risk factors in hospitals due to the high risk of
disease outbreak and mortality, in addition to being economical, are important in terms of the human
aspect as well. In addition, the activity of nursing staff is more important compared to other groups
because of providing health care and communicating with patients; thus, more education about the
safety climate of the workplace environment in hospitals can reduce nurses’ fatigue.


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